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Dear Subscriber,

Welcome to the LWW
American Nursing Student E-Newsletter,
brought to you by the editors of Nursing2009
in conjunction with NursingCenter.com--absolutely
. Written especially
for nursing students, it includes practice NCLEX
questions, medication errors to avoid, advice on
how to care for patients, tips from experienced
nurses, and much more.

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If you want to continue getting this monthly eNews,
please update your NursingCenter profile
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When you
begin your clinical rotation, your clinical
mentor (or preceptor) will coach you through
your clinical experience. Do your best to
start out on the right foot with your mentor--you
just might learn something! Also, try to
avoid making unfair judgments about your
mentor based on what you may have heard
from other students. Get to know your mentor
before forming an opinion.

No
name games
Remember to be polite and respectful. Address
your mentor as Mr., Mrs., Dr., Ms., or by
a first name, according to your mentor's
stated preference. It's part of the mutual
respect you want in your relationship.

Background
check
Try to learn a little bit about how your
mentor arrived at where he or she is today.
For instance, you could ask questions about
how he or she got into healthcare, where
he or she went to school, and the positions
he or she has held. You don't have to pry
or overwhelm him or her with questions.
These topics are general enough to come
up in conversation.

You should
have regular conversations with your mentor
about what you're learning and doing. You
don't have to worry that this will impose
on him or her. He or she will be happy to
answer your questions and to see that you're
eager to learn.

Head
off trouble
If you feel you're unable to develop a good
relationship with your mentor, make an appointment
to discuss your concerns. If you can't resolve
the problems together, follow the procedures
outlined in your student handbook for resolving
grievances.

Glaucoma
is a group of diseases that differ in pathophysiology,
clinical presentation, and treatment. It's
characterized by visual field loss because
of damage to the optic nerve caused by increased
intraocular pressure. The increased intraocular
pressure results from pathologic changes
that prevent normal circulation and outflow
of aqueous humor. There are two common types
of glaucoma: primary open-angle glaucoma
and acute angle-closure glaucoma.

Worried
about passing the NCLEX? The more practice
questions you do, the more confident you'll
feel. Try these, then review the answers
and rationales that follow. Experts recommend
taking many practice questions before the
NCLEX, so take advantage of review courses,
books, and other products to help you succeed
and pass the NCLEX. ANSWERS
BELOW.

1.

The
staff of an outpatient clinic has formed
a task force to develop new procedures
for swift, safe evacuation of the unit.
The new procedures haven't been reviewed,
approved, or shared with all personnel.
When the nurse manager receives word
of a bomb threat, the task force members
push for evacuating the unit using the
new procedures. Which action should
the nurse manager take?

1.

Determine
that the procedures currently in place
must be followed and direct staff to
follow them without question.

2.

Tell
staff members to use whatever procedures
they feel are best.

3.

Ask
staff members to quickly meet among
themselves and decide what procedures
to follow.

4.

Tell staff members to assemble in the
staff lounge; there the nurse manager
will quickly gather opinions about evacuation
procedures before deciding what to do.

2.

A
45-year-old client who's a member of
the Jehovah's Witnesses refuses a blood
transfusion based on his religious beliefs
and practices. The client's decision
must be followed based on which ethical
principle?

1.

The
right to die

2.

Advance
directive

3.

The
right to refuse treatment

4.

Substituted
judgment

3.

A
nurse is teaching a 50-year-old client
how to decrease risk factors for coronary
artery disease. He's an executive who
smokes, has a type A personality, and
is hypertensive. Which risk factor is
nonmodifiable?

1.

Age

2.

Hypertension

3.

Personality

4.

Smoking

4.

A
2-year-old child is diagnosed with bronchiolitis
caused by respiratory syncytial virus
(RSV). The child's family also includes
an 8-year-old child. Which statement
is correct?

1.

RSV
isn't highly communicable in infants.

2.

RSV
isn't communicable to older children
and adults.

3.

The
2-year-old client must be admitted to
the hospital for isolation.

4.

The
children should be separated to prevent
the spread of the infection.

5.

A
client is seen in the emergency department
with bruises on her face and back. She
has the signs of a domestic abuse victim.
Which community resource could provide
assistance to the client?

Don't
miss these substantive, peer-reviewed features
from the November issue of Nursing2009.
They'll help you learn about evidence-based
practice.

Winter emergencies: Managing ski and snowboard
injuries
By Linda Laskowski-Jones, RN, ACNS-BC,
CCRN, CEN, MS, and Lawrence J. Jones III,
NREMT-B, BA
You're first on the scene after an accident
on the slopes--do you know how to respond?
This article will prepare you to handle
common winter hazards.

1.
1 In an emergency, such
as a bomb scare, the nurse manager must
determine, without hesitation, the best
action for the safety and welfare of clients
and staff. Allowing staff members to do
whatever they think best will cause confusion
and inefficient client evacuation because
no one will know how to function effectively
as a team during the crisis. Taking time
to have staff meet, or gathering opinions
about what to do, wastes valuable time.
2. 3 The right to refuse
treatment is an ethical principle of respect
for the autonomy of the individual. The
client can refuse treatment if he's competent
and aware of the risks and complications
associated with that refusal. The right
to die involves whether to initiate or withhold
life-sustaining treatment for a client who
is irreversibly comatose, vegetative, or
suffering with end-stage terminal illness.
An advance directive is a document used
as a guideline for starting or continuing
life-sustaining medical care; the client
commonly has a terminal disease or disability
and can't indicate his own wishes. Substituted
judgment is an ethical principle used when
a decision is made for an incapacitated
client.
3. 1 Age is a risk factor
that is nonmodifiable. Type A personality,
hypertension, and smoking factors can be
controlled.
4. 4 Toddlers easily transmit
and contract RSV so they should be separated
from other children. RSV is also communicable
to older children and adults, but these
clients may exhibit only mild symptoms of
the disorder. Hospitalization is indicated
only for children who need oxygen and I.V.
therapy.
5. 4 A women's shelter
can house women and children who need protection
from an abusive partner or parent. AA is
a support group for alcoholics and their
families. The Crime Task Force and Lifeline
Emergency Aid don't provide housing for
women or children who want to leave an abusive
relationship.

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